Xyoo 2017, Lub Koom Haum Kev Noj Qab Haus Huv Ntiaj Teb tau tawm tswv yim txog txoj kev npaj ntawm"kev kuaj pom thaum ntxov, kev kuaj mob thaum ntxov, thiab kev kho mob thaum ntxov", uas yog los ceeb toom rau pej xeem kom ua tib zoo saib xyuas cov tsos mob ua ntej. Tom qab ntau xyoo ntawm kev kho mob tiag tiag,peb txoj kev npaj no tau dhau los ua txoj hauv kev zoo tshaj plaws los tiv thaiv kab mob qog noj ntshav.
Raws li "Global Cancer Report 2020" uas tau tshaj tawm los ntawm WHO, nws tau kwv yees tias tus naj npawb ntawm cov mob qog noj ntshav tshiab thoob ntiaj teb yuav nce mus txog 30.2 lab hauv xyoo 2040 thiab tus naj npawb ntawm cov neeg tuag yuav nce mus txog 16.3 lab.
Xyoo 2020, yuav muaj 19 lab tus mob qog noj ntshav tshiab hauv ntiaj teb.Lub sijhawm ntawd, peb hom mob qog noj ntshav loj uas muaj cov mob qog noj ntshav ntau tshaj plaws hauv ntiaj teb yog: mob qog noj ntshav mis (22.61 lab), mob qog noj ntshav ntsws (2.206 lab), mob qog noj ntshav plab hnyuv (19.31 lab), thiab mob qog noj ntshav plab hnyuv tau qeb thib tsib nrog 10.89 lab,nyob rau hauv tus lej ntawm cov mob qog noj ntshav tshiab, mob qog noj ntshav plab hnyuv thiab mob qog noj ntshav plab suav txog 15.8% ntawm tag nrho cov mob qog noj ntshav tshiab.
Raws li peb txhua tus paub, Manhua txoj hnyuv yog hais txog los ntawm lub qhov ncauj mus rau lub qhov rooj zaj sawv, uas cuam tshuam nrog txoj hlab pas, lub plab, txoj hnyuv me, txoj hnyuv loj (cecum, appendix, colon, rectum thiab anal canal), siab, pancreas, thiab lwm yam, thiab colorectum hauv cov mob qog noj ntshav tshiab thoob ntiaj teb. Mob qog noj ntshav thiab mob qog noj ntshav hauv plab ob leeg koom nrog txoj hnyuv zom zaub mov, yog li mob qog noj ntshav ntsig txog txoj hnyuv zom zaub mov kuj yuav tsum tau them sai sai thiab yuav tsum tau siv "peb txoj kev ntxov" txoj kev npaj.
Xyoo 2020, tus lej ntawm cov neeg mob qog noj ntshav tshiab hauv kuv lub tebchaws kuj tau txog 4.5 lab, thiab tus lej ntawm cov neeg tuag los ntawm qog noj ntshav yog 3 lab.Muaj li ntawm 15,000 tus neeg raug kuaj pom tias muaj mob qog noj ntshav txhua hnub, thiab muaj 10.4 tus neeg raug kuaj pom tias muaj mob qog noj ntshav txhua feeb. Qhov thib tsib yog mob qog noj ntshav ntsws.(suav txog 17.9% ntawm tag nrho cov mob qog noj ntshav tshiab),mob qog nqaij hlav plab hnyuv (12.2%), mob qog nqaij hlav plab (10.5%),mob qog noj ntshav hauv lub mis (9.1%), thiab mob qog noj ntshav hauv siab (9%). Ntawm tsib hom mob qog noj ntshav saum toj kawg nkaus xwb,mob qog noj ntshav hauv plab hnyuv suav txog 31.7% ntawm tag nrho cov mob qog noj ntshav tshiab.Pom tau tias peb yuav tsum tau ua tib zoo saib xyuas thiab tiv thaiv kab mob qog noj ntshav hauv txoj hnyuv.
Cov hauv qab no yog tsab ntawv tshaj tawm xyoo 2020 (cov lus qhia tshwj xeeb txog kev tshawb nrhiav thiab tiv thaiv kab mob qog nqaij hlav Chang Beihui) uas cuam tshuam txog kev npaj tiv thaiv thiab tshuaj xyuas mob plab zom mov:
Mob qog nqaij hlav ntawm txoj hnyuv
1. Cov neeg uas tsis muaj tsos mob hnub nyoog tshaj 1.45 xyoo;
2. Cov neeg hnub nyoog tshaj 240 xyoo uas muaj cov tsos mob ntawm qhov quav rau ob lub lis piam:
3. Cov neeg mob uas muaj mob ulcerative colitis ntev heev;
4.4 tus neeg tom qab phais mob qog nqaij hlav plab hnyuv;
5. Cov pej xeem tom qab kho mob colorectal adenoma;
6. Cov txheeb ze ze uas muaj keeb kwm tsev neeg muaj mob qog noj ntshav hauv txoj hnyuv loj
7. Cov txheeb ze ze ntawm cov neeg mob uas tau kuaj pom tias muaj mob qog nqaij hlav ntawm txoj hnyuv loj uas muaj hnub nyoog tshaj 20 xyoo
1. Kev Tshuaj Xyuas "Cov Pej Xeem Dav Dav" Sib Tw 1-5:
(1) Kev kuaj mob qog nqaij hlav ntawm txoj hnyuv pib thaum muaj hnub nyoog 45 xyoos, tsis hais txiv neej lossis poj niam, cov ntshav hauv quav (FOBT) raug kuaj pom ib xyoos ib zaug.
Kev kuaj mob plab hnyuv txhua 10 xyoo txog thaum muaj hnub nyoog 75 xyoos;
(2) Cov neeg hnub nyoog 76-85, uas muaj kev noj qab haus huv zoo, thiab cov neeg uas muaj lub neej ntev tshaj 10 xyoo, tuaj yeem txuas ntxiv khaws cov khoom dai kom zoo nkauj.
2 Raws li "kev tshawb nrhiav hauv tsev neeg uas muaj keeb kwm mob qog noj ntshav hauv plab hnyuv loj:
(1) 1 tus txheeb ze uas muaj mob qog nqaij hlav lossis mob qog nqaij hlav qib siab (hnub nyoog qis dua 60 xyoo), 2
Cov txheeb ze theem ib thiab siab dua uas muaj mob qog nqaij hlav lossis mob qog nqaij hlav theem siab (txhua lub hnub nyoog uas pib mob), pib thaum muaj hnub nyoog 40 xyoo (lossis pib thaum yau dua 10 xyoo ntawm lub hnub nyoog ntawm tus neeg hauv tsev neeg yau tshaj plaws), kev kuaj FOBT ib xyoos ib zaug, ib zaug txhua 5 xyoos Kev kuaj plab hnyuv loj;
(2) Cov neeg muaj kev pheej hmoo siab uas muaj keeb kwm tsev neeg ntawm cov txheeb ze thawj zaug (tsuas yog 1, thiab hnub nyoog pib yog siab dua 60 xyoo):
Pib kuaj xyuas thaum muaj hnub nyoog 40 xyoo, nrog rau kev kuaj FOBT txhua xyoo thiab kev kuaj mob plab hnyuv txhua kaum xyoo. 3 Kev kuaj xyuas cov tswv cuab hauv tsev neeg ntawm "mob qog nqaij hlav plab hnyuv los ntawm noob caj" lub rooj sib tham 7;
Rau cov tswv cuab ntawm cov neeg mob uas muaj FAP thiab HNPCC, kev kuaj kev hloov pauv ntawm cov noob caj noob ces raug pom zoo thaum qhov kev hloov pauv ntawm cov noob caj noob ces hauv thawj rooj plaub hauv tsev neeg pom tseeb.
(1) Rau cov neeg uas muaj kev kuaj pom tias muaj kev hloov pauv ntawm cov noob caj ces, tom qab muaj hnub nyoog 20 xyoo, yuav tsum tau ua qhov kev kuaj mob plab hnyuv txhua 1-2 xyoos; (2) Rau cov neeg uas muaj kev kuaj pom tias muaj kev hloov pauv ntawm cov noob caj ces tsis muaj kev hloov pauv ntawm cov noob caj ces, cov pej xeem feem ntau yuav tsum tau kuaj xyuas. 4 Cov txheej txheem pom zoo rau kev kuaj xyuas:
(1) Kev kuaj FOBT + kev tshawb nrhiav ntau qhov ntim yog txoj kev tseem ceeb ntawm kev tshawb nrhiav Han, thiab cov pov thawj txaus:
(2) Kev kuaj pom ntau hom noob caj noob ces ntawm cov ntshav yuav pab txhim kho qhov tseeb ntawm kev xam, thiab tus nqi kim heev; (3) Yog tias muaj xwm txheej tso cai, kev tshuaj ntsuam tuaj yeem ua tiav los ntawm kev sib xyaw ua ke ntawm cov quav thiab cov ntshav.
1. Kev tawm dag zog tuaj yeem txo qhov tshwm sim ntawm cov qog, ua raws li kev coj ua kis las, thiab ua luam dej kom tsis txhob rog dhau;
2. Khoom noj khoom haus zoo rau lub hlwb, noj cov fiber ntau thiab cov txiv hmab txiv ntoo tshiab ntau dua, thiab tsis txhob noj cov khoom noj uas muaj roj ntau thiab muaj protein ntau;
3 Cov tshuaj tiv thaiv kev o thiab tshuaj tiv thaiv mob qog noj ntshav uas tsis ua rau lub cev tsis zoo yuav pab tiv thaiv tau mob qog noj ntshav hauv plab hnyuv. Cov neeg laus tuaj yeem sim noj tshuaj aspirin tsawg tsawg, uas yuav txo tau qhov kev pheej hmoo ntawm cov kab mob plawv thiab cov kab mob hlwb thiab mob qog noj ntshav hauv plab hnyuv. Sab laj nrog kws kho mob kom paub siv tshwj xeeb.
5. Txo kev haus luam yeeb kom tsis txhob muaj kev lom mus sij hawm ntev thiab kev ua rau mob Qinghua Dao.
Mob Cancer Hauv Plab
Txhua tus neeg uas muaj ib qho ntawm cov mob hauv qab no yog ib yam khoom muaj kev pheej hmoo siab;
1. Muaj hnub nyoog tshaj 60 xyoo;
2 Mob plab atrophic nruab nrab thiab hnyav;
3. Mob plab hnyuv ntev ntev;
4. Cov qog nqaij hlav hauv plab;
5. Lub cim loj ntawm cov quav hauv plab;
6. Cov khoom seem tom qab phais rau cov kab mob benign;
7. Cov plab seem tom qab phais mob qog noj ntshav hauv plab (6-12 lub hlis tom qab phais);
8. Kev kis tus kab mob Helicobacter pylori;
9. Muaj keeb kwm tsev neeg mob qog nqaij hlav hauv plab lossis txoj hlab pas;
10. Kab mob ntshav tsis txaus:
11. Tsev neeg muaj keeb kwm mob qog nqaij hlav hauv plab (FAP), mob qog nqaij hlav hauv plab uas tsis yog polyposis los ntawm noob caj noob ces (HNPCC).
Muaj hnub nyoog tshaj 40 xyoo uas mob plab, plab loj, kua qaub ntau dhau, kub siab thiab lwm yam tsos mob ntawm kev tsis xis nyob hauv plab, thiab mob plab hnyuv ntev, mob plab hnyuv hauv plab hnyuv, mob plab polyps, mob plab seem, mob plab loj, mob plab ntev thiab mob plab epithelial atypia. Mob plab hyperplasia thiab lwm yam mob thiab cov khoom uas muaj keeb kwm tsev neeg ntawm qog yuav tsum tau mus kuaj mob plab tsis tu ncua raws li kws kho mob cov lus qhia.
1. Tsim kom muaj tus cwj pwm noj zaub mov zoo thiab cov qauv zaub mov noj, tsis txhob noj ntau dhau;
2. Kev tshem tawm ntawm Helicobacter pylori kab mob;
3. Txo kev noj cov khoom noj txias, ntsim, kub dhau, thiab tawv, nrog rau cov khoom noj uas muaj ntsev ntau xws li haus luam yeeb thiab pickled.
4. Tsum haus luam yeeb;
5. Haus tsawg dua los yog tsis haus kiag li;
6. So kom txaus thiab ua kom lub siab tus
Mob qog nqaij hlav ntawm txoj hlab pas
Muaj hnub nyoog > 40 xyoo thiab ua tau raws li ib qho ntawm cov yam txaus ntshai hauv qab no:
1. Los ntawm thaj chaw muaj mob qog noj ntshav hauv kuv lub tebchaws (thaj chaw muaj mob qog noj ntshav hauv kuv lub tebchaws nyob hauv Hebei, Henan thiab Shanxi xeev nyob rau sab qab teb ntawm Taihang Roob, tshwj xeeb tshaj yog nyob rau hauv Cixian County, hauv Qinling, Dabie Roob, sab qaum teb Sichuan, Fujian, Guangdong, sab qaum teb Jiangsu, Xinjiang, thiab lwm yam. Cov av thiab cov khub organic yog concentrated nyob rau hauv thaj chaw muaj mob qog noj ntshav);
2. Cov tsos mob ntawm txoj hnyuv sab saud, xws li xeev siab, ntuav, mob plab, kua qaub ntau dhau, tsis xis nyob noj mov thiab lwm yam tsos mob;
3. Keeb kwm tsev neeg mob esophageal:
4. Muaj mob qog nqaij hlav ua ntej los yog mob qog nqaij hlav ua ntej:
5. Muaj tej yam uas ua rau muaj mob qog nqaij hlav hauv txoj hlab pas xws li haus luam yeeb, haus dej cawv ntau, rog dhau, nyiam noj zaub mov kub, mob qog nqaij hlav ntawm lub taub hau thiab caj dab lossis txoj hlab pa.
6. Muaj tus kab mob periesophageal reflux (CERD);
7. Kev kis tus kab mob human papillomavirus (HPV).
Cov neeg uas muaj feem yuav mob qog nqaij hlav ntawm txoj hlab pas:
1. Kev kuaj mob endoscopy ib txwm muaj, ib zaug txhua ob xyoos;
2 Endoscopy nrog cov kev kuaj pom ntawm cov kab mob dysplasia me me, endoscopy ib xyoos ib zaug;
3 Kev kuaj mob endoscopy nrog cov tsos mob ntawm dysplasia nruab nrab, kev kuaj mob endoscopy txhua rau lub hlis
1. Tsis txhob haus luam yeeb lossis tso tseg kev haus luam yeeb;
2. Haus me ntsis cawv los yog tsis haus kiag li;
3. Noj zaub mov kom tsim nyog, noj txiv hmab txiv ntoo thiab zaub tshiab ntau dua
4. Txhim kho kev tawm dag zog thiab tswj kom muaj qhov hnyav noj qab nyob zoo;
5. Tsis txhob noj zaub mov kub los yog haus dej kub.
Mob qog nqaij hlav
Cov txiv neej hnub nyoog tshaj 35 xyoo thiab cov poj niam hnub nyoog tshaj 45 xyoo nyob rau hauv ib qho ntawm cov pawg hauv qab no:
1. Kab mob siab B ntev (HBV) lossis kab mob siab C ntev (HCV);
2. Cov neeg uas muaj keeb kwm tsev neeg muaj mob qog noj ntshav hauv siab;
3. Cov neeg mob uas muaj kab mob siab cirrhosis los ntawm schistosomiasis, cawv, kab mob biliary thawj zaug, thiab lwm yam.
4. Cov neeg mob uas muaj kev puas tsuaj rau daim siab los ntawm kev siv tshuaj;
5. Cov neeg mob uas muaj cov kab mob metabolic uas tau txais los ntawm noob caj noob ces, suav nrog: hemochromatosis a-1 antitrypsin deficiency, glycogen storage disease, delayed cutaneous porphyria, tyrosinemia, thiab lwm yam;
6. Cov neeg mob uas muaj kab mob siab autoimmune;
7. Cov neeg mob uas muaj kab mob rog hauv siab uas tsis yog los ntawm kev haus cawv (NAFLD)
1. Cov txiv neej hnub nyoog tshaj 35 xyoo thiab cov poj niam hnub nyoog tshaj 45 xyoo uas muaj feem yuav mob qog noj ntshav siab yuav tsum tau tshawb xyuas;
2. Kev siv ua ke ntawm cov serum alpha-fetoprotein (AFP) thiab lub siab B-ultrasound, kev kuaj mob txhua 6 lub hlis
1. Tshuaj tiv thaiv kab mob siab B;
2. Cov neeg mob uas muaj tus kab mob siab ntev yuav tsum tau txais kev kho mob antiviral sai li sai tau kom tswj tau qhov kev sib kis ntawm tus kab mob siab.
3. Tsis txhob haus lossis txo qhov haus cawv;
4. Noj zaub mov me me thiab txo cov zaub mov uas muaj roj ntau
5. Tsis txhob noj cov khoom noj uas muaj pwm.
Mob qog nqaij hlav pancreatic
Cov neeg hnub nyoog tshaj 40 xyoo, tshwj xeeb tshaj yog cov hnub nyoog tshaj 50 xyoo, nrog ib qho ntawm cov yam hauv qab no (yam thib rau tsis ua rau muaj kev pheej hmoo ntawm mob qog noj ntshav pancreatic, tab sis feem ntau tsis kuaj mob):
1. Keeb kwm tsev neeg muaj mob qog nqaij hlav pancreas thiab ntshav qab zib;
2. Muaj keeb kwm ntawm kev haus luam yeeb ntev, haus dej cawv, noj zaub mov uas muaj roj ntau thiab muaj protein ntau;
3. Nruab nrab thiab sab saud plab puv nkaus, tsis xis nyob, mob plab yam tsis muaj laj thawj pom tseeb, thiab cov tsos mob xws li tsis xav noj mov, qaug zog, raws plab, poob phaus, mob nraub qaum, thiab lwm yam.;
4. Cov mob pancreatitis uas rov tshwm sim tas li, tshwj xeeb yog mob pancreatitis uas muaj pob zeb hauv cov hlab pancreatic, cov mucinous papilloma uas yog hom mucinous duct tseem ceeb, mucinous cystic adenoma, thiab cov qog nqaij hlav pseudopapillary, nrog rau cov serum CA19-9 siab;
5. Tsis ntev los no muaj tus kab mob ntshav qab zib tsis ntev los no yam tsis muaj keeb kwm hauv tsev neeg;
6. Muaj tus kab mob Helicobacter pylori (HP), keeb kwm ntawm tus kab mob periodontitis hauv qhov ncauj, PJ syndrome, thiab lwm yam.
1. Cov neeg mob uas tau hais los saum toj no raug kuaj xyuas nrog cov txiaj ntsig ntawm kev kuaj ntshav ntawm cov cim qog nqaij hlav xws li CA19-9, CA125 CEA, thiab lwm yam, ua ke nrog kev kuaj CT thiab MRI hauv plab, thiab B-ultrasound kuj tuaj yeem muab kev pab sib xws;
2. Kev kuaj CT lossis MR ib xyoos ib zaug rau cov neeg uas tau hais los saum toj no, tshwj xeeb tshaj yog cov neeg uas muaj keeb kwm tsev neeg thiab muaj cov kab mob pancreatic uas twb muaj lawm.
1. Tso tseg kev haus luam yeeb thiab kev tswj cawv;
2. Txhawb kom noj zaub mov sib zog, yooj yim zom, thiab tsis muaj roj ntau;
3. Noj ntau nqaij qaib, ntses thiab cw, thiab txhawb kom noj cov zaub paj "+", xws li zaub qhwv ntsuab, zaub qhwv, radish, broccoli, thiab lwm yam;
4. Txhawb kom muaj kev ua si aerobic sab nraum zoov
5. Yuav kom tiv thaiv tau qhov puas tsuaj ntawm cov qhov txhab zoo, cov neeg uas muaj pob zeb hauv cov hlab ntsha pancreatic, intraductal mucinous papilloma thiab cystic adenoma lossis lwm yam qhov txhab zoo pancreatic yuav tsum nrhiav kev kho mob raws sijhawm.
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws licov forceps biopsy, hemoclip, polyp snare, koob sclerotherapy, catheter tsuag, txhuam cytology, guidewire, pob tawb khaws pob zeb, catheter ntws kua ntswg thiab lwm yam.uas siv dav hauv EMR, ESD, ERCP. Peb cov khoom muaj ntawv pov thawj CE, thiab peb cov nroj tsuag muaj ntawv pov thawj ISO. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab tau txais kev lees paub thiab qhuas los ntawm cov neeg siv khoom!
Lub sijhawm tshaj tawm: Cuaj hlis-09-2022